Adolescents at pediatric trauma centers were more likely to undergo screening for substance use if they were Black, American Indian, Hispanic, girls, covered by Medicaid, or uninsured.
Injured adolescents who present at trauma centers who are Black, American Indian, or Hispanic are more likely to undergo screening for biochemical alcohol or drugs than their White peers. Adolescent girls and Medicaid -insured adolescents also have higher screening rates.Researchers conducted a retrospective cohort study using the Trauma Quality Programs dataset from 2017 to 2021 to examine the sociodemographic disparities in biochemical substance use screening among injured adolescents.
They included 85,362 adolescent patients aged 12-17 years with trauma from 121 pediatric trauma centers.< .001) higher, respectively, in American Indian adolescents than in White adolescents."Our findings indicate potential disparities in biochemical substance use screening at pediatric trauma centers.
The differences in rates of screening"may reflect clinician biases as inequities persisted despite adjusting for clinical characteristics and after nesting patients within trauma centers to account for institutional screening practices," the researchers wrote.The dataset used in the analysis did not report whether a positive test was followed by intervention or treatment, which made it unclear if the benefits of screening outweighed the potential harm.
This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.
Toxicity Poisoning Toxins Addiction Adolescent Medicine Teens Teenage Teenager Adolescent Health Adolescents Adolescent Alcoholism Alcohol Dependence Substance Abuse Preventive Screening Screening Pediatric Trauma Children Child Childhood Pediatrics Kids Childhood Screening Medicaid Uninsured Overdose Drug Overdose Practice Management Revenue Injury Prevention
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